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General NPI Number Information
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NPI Number | 1114367455
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Entity Type | Individual
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Provider Name | ANDREW POUNDS D.D.S
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Gender | Male
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Dates
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Enumeration Date | 07/01/2013
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Last Update Date | 07/01/2013
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Provider Practice Location Address
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Address Line | 1805 28TH ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-1903
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Country | US
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Telephone | 661-327-2734
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Fax | 661-327-2735
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Provider Business Mailing Address
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Address Line | 4291 COUNTRY CLUB DR
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City | BAKERSFIELD
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State | CA
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Zip | 93306-3760
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Country | US
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Telephone | 661-871-4229
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 25018
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License Number State | CA
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